Ukudakumba okubonakalayo kwiinkqubo zotyando

I-Conscious sedation yindibaniselwano yamayeza ukukunceda uphumle (ukuthomalalisa) kunye nokuthintela iintlungu (iyeza) ngexesha lonyango okanye inkqubo yamazinyo. Uya kuhlala uphaphile, kodwa ungabi nakho ukuthetha.

Ukudakumba okukuvumelayo ukuba ubuye ngokukhawuleza kwaye ubuyele kwimisebenzi yakho yemihla ngemihla kwakamsinya emva kwenkqubo yakho.

Umongikazi, ugqirha, okanye ugqirha wamazinyo, uya kukunika isisu esisesibhedlele okanye kwikliniki yezigulana ezingalaliswayo. Uninzi lwexesha, ayizukuba ngugqirha wokubulala iintlungu. Iyeza liya kunxiba ngokukhawuleza, ngenxa yoko lisetyenziselwa iinkqubo ezimfutshane, ezingalulanga.

Unokufumana iyeza ngokusebenzisa umgca we-intravenous (IV, emthanjeni) okanye ukudubula kwisisipha. Uya kuqala ukuziva usozela kwaye ukhululeke ngokukhawuleza okukhulu. Ukuba ugqirha wakho ukunika iyeza lokuginya, uya kuziva iziphumo emva kwemizuzu engama-30 ukuya kwengama-60.

Ukuphefumla kwakho kuyacotha kwaye uxinzelelo lwegazi lunokwehla kancinci. Umboneleli wakho wezempilo uya kukubeka esweni ngexesha lenkqubo ukuqinisekisa ukuba uphilile. Lo mboneleli uya kuhlala nawe maxa onke ngexesha lenkqubo.

Akufanele ufune uncedo ngokuphefumla kwakho. Kodwa unokufumana ioksijini eyongezelelweyo ngesigqumathelo okanye ulwelo lwe-IV ngecatheter (ityhubhu) uye emthanjeni.

Unokulala, kodwa uya kuvuka ngokulula uphendule kubantu abasegumbini. Unokwazi ukuphendula kwiimpawu zomlomo. Emva kokuziva uhleli, unokuziva usozela kwaye ungakhumbuli kakhulu malunga nenkqubo yakho.

I-Conscious sedation ikhuselekile kwaye iyasebenza kubantu abafuna utyando oluncinci okanye inkqubo yokufumanisa imeko.

Olunye lovavanyo kunye neenkqubo ezinokuthi zisetyenziselwe ukuthomalalisa isisulu zezi:

• Isifuba sebele
• Ukufakelwa kwamazinyo okanye utyando lokwakha ngokutsha
• Ukulungiswa kwethambo elincinci
• Utyando oluncinci lweenyawo
• Utyando oluncinci lolusu
• Utyando lweplastiki okanye olwakhiwa ngokutsha
• Iinkqubo zokufumanisa kunye nokunyanga isisu (i-endoscopy ephezulu), ikholon (colonoscopy), imiphunga (i-bronchoscopy), kunye nesinyi (cystoscopy)

I-Conscious sedation ihlala ikhuselekile. Nangona kunjalo, ukuba unikwa amayeza amaninzi, iingxaki ngokuphefumla kwakho zinokubakho. Umboneleli uya kujonga ngexesha lenkqubo yonke.

Ababoneleli bahlala benezixhobo ezizodwa zokukunceda ngokuphefumla kwakho, ukuba kukho imfuneko yoko. Baninzi kuphela abaqeqeshiweyo bezempilo abanokubonelela nge-sedation eyaziwayo.

Xelela umboneleli:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza owasebenzisayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kwenkqubo yakho:

• Xelela umboneleli wakho malunga neempawu zokugula okanye iimeko zempilo onazo, ngawaphi amayeza owathathayo, kunye ne-anesthesia okanye i-sedation obukhe unayo ngaphambili
• Unokuba novavanyo lwegazi okanye umchamo kunye novavanyo lomzimba.
• Lungiselela umntu omdala onoxanduva lokukuqhuba ukuya nokubuya esibhedlele okanye eklinikhi ukuze ufumane inkqubo.
• Ukuba uyatshaya, zama ukuyeka. Ukutshaya kwandisa umngcipheko weengxaki ezinjengokunyanga kade. Buza umboneleli wakho ngoncedo lokuyeka.

Ngomhla wenkqubo yakho:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Musa ukusela utywala kubusuku obungaphambili kunye nomhla wenkqubo yakho.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele okanye eklinikhi ngexesha.

Emva kokuziva uhleli, uya kuziva ulele kwaye unokuba nentloko okanye uzive ugula kwisisu sakho. Ngexesha lokuchacha, umnwe wakho uza kunqanyulwa kwisixhobo esikhethekileyo (i-pulse oximeter) ukujonga amanqanaba eoksijini egazini lakho. Uxinzelelo lwegazi luyakujongwa ngesipaji sengalo malunga nemizuzu eli-15.

Kuya kufuneka ukwazi ukuya ekhaya 1 ukuya kwiiyure ezi-2 emva kwenkqubo yakho.

Xa usekhaya:

• Yitya isidlo esisempilweni ukubuyisela amandla akho.
• Kuya kufuneka ukwazi ukubuyela kwimisebenzi yakho yemihla ngemihla ngosuku olulandelayo.
• Gwema ukuqhuba, ukusebenzisa oomatshini, ukusela utywala, kunye nokwenza izigqibo zomthetho ubuncinci iiyure ezingama-24.
• Jonga ugqirha wakho ngaphambi kokuba uthathe naliphi na iyeza okanye isongezo semifuno.
• Ukuba uye wenziwa utyando, landela imiyalelo kagqirha yokufumana kwakhona kunye nokhathalelo lwenxeba.

I-Conscious sedation ikhuselekile ngokubanzi, kwaye lukhetho kwiinkqubo okanye kuvavanyo lokuqonda isifo.

Ukubulawa - sedation abazi

• I-Anesthesia- yintoni ongayibuza ugqirha wakho - umntu omdala
• Ukubulawa - yintoni oza kuyibuza ugqirha wakho - umntwana

UHernandez A, uSherwood ER. Imigaqo ye-Anesthesiology, ulawulo lweentlungu kunye nokuthanjiswa kwengqondo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 14.

UVuyk J, uSitsen E, uReekers M.I-anesthetics engena ngaphakathi. Ku: Miller RD, ed. I-Anesthesia kaMiller. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 30.